Petition For Advance | Pdf Fpdf Doc Docx | Montana

 Montana   Workers Compensation 
Petition For Advance | Pdf Fpdf Doc Docx | Montana

Last updated: 5/30/2024

Petition For Advance

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Description

PETITION FOR ADVANCE. This form is used in Montana for a claimant and an insurer to petition the Department of Labor and Industry for an advance payment on permanent partial disability or permanent total disability benefits. It includes details about the claimant's work-related injury or occupational disease, the agreed lump sum advance amount, and its intended purpose. The claimant acknowledges the insurer's right to recoup the advance from future benefits or settlements. www.FormsWorkflow.com

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